Primary Medical Care Services Pllc | |
9916 97th St Ozone Park NY 11416-2509 | |
(917) 300-5402 | |
(917) 300-5405 |
Full Name | Primary Medical Care Services Pllc |
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Speciality | Internal Medicine |
Location | 9916 97th St, Ozone Park, New York |
Authorized Official Name and Position | Joshua Anthony Powell (MEDICAL DOCTOR) |
Authorized Official Contact | 6466733515 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Primary Medical Care Services Pllc 9916 97th St Ozone Park NY 11416-2509 Ph: (917) 300-5402 | Primary Medical Care Services Pllc 9916 97th St Ozone Park NY 11416-2509 Ph: (917) 300-5402 |
NPI Number | 1992045793 |
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Provider Enumeration Date | 02/15/2013 |
Last Update Date | 01/29/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992045793 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 267268-1 (New York) | Primary |
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